Individual
JACQUELINE MAGENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1126 S 70TH ST, WEST ALLIS, WI 53214-3151
(414) 456-2331
(414) 456-2339
Mailing address
1126 S 70TH ST, WEST ALLIS, WI 53214-3151
(414) 456-2331
(414) 456-2339
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2354-154
WI
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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